North State Quality Care Network
North State Quality Care Network (NSQCN) has continued to grow its network while completing its first year of MSSP participation and engaging in the Group Physician Reporting Option (GPRO), the process of abstracting and validating quality data for MSSP. Meanwhile, the network remains committed to assisting its non-MSSP providers with MIPS participation. The following initiatives are also noteworthy.
With a greater proportion of elderly patients than other regions, NSQCN sees a high number of chronic heart failure (CHF) admissions. So, NSQCN partnered with the inpatient team, pharmacy and community cardiologists to create an outpatient CHF clinic to address the needs of the population. The clinic was soon restructured to ensure this vulnerable population is seen within seven days of hospital discharge and provided useful education to help them manage their condition.
Patient and Provider Education
The network has also done extensive work to standardize guidelines around hypertension and diabetes for physicians.
For patients, the network has rolled out its Know Where to Go campaign, which is designed to help patients determine where to go to receive the appropriate level of care at the appropriate time. And with classes, communication materials and personal engagement, the NSQCN ongoing advance care planning awareness campaign has served to educate patients on the importance of advance care planning and how to complete their advance directives.
In addition, NSQCN has expanded its care coordination team to better assist physicians in the management of their patients and to help keep patients safe, healthy and out of the hospital.